Mohammad Zarin, Mansoor Khan, Mujeeb-ur rehman, Shehzad Akbar, Usra Ahmed, Rooh-ul muqim, Aziz Wazir, Muhammad Salman.
Role of early laparoscopic cholecystectomy in acute cholecystitis.
Pak J Surg Jan ;26(1):7-9.

Objectives: To determine the safety of early laparoscopic cholecystectomy (LC) in acute cholecystitis (AC). Study design: Quasi Experimental study. Sett ing: Th is study was conducted in Surgical “C” unit, Khyber Teaching hospital, Peshawar from March, 2006 to July, 2009. Methodology: All cases of acute cholecystitis (both calculus and acalculus) admitt ed to surgical “C” unit through OPD or Emergency department, were included in the study. Patients with evidence of acute on chronic cholecystitis were also included in the study. Patients with obstructive jaundice and those who refused laparoscopic surgery were excluded from the study. Results: A total of 428 patients were included in the study including 392 female and 36 male patients. All the patients were operated within 24 to 48 hours of admission. Eleven patients (2.57%) were converted to open surgery. Mean duration of surgery was 50 minutes. Eight cases (1.86%) had post-operative biliary leak, out of which 2 patients had bile duct injury, and 1 patient developed post-operative jaundice due to inadvertent clip ligation of the common hepatic duct. Port site infection was noted in 13 patients. Th ere was post- operative sub-phrenic collection in 3 cases. Conclusion: Early Laparoscopic cholecystectomy is a safe procedure in acute cholecystitis.

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